Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Masho Hagos Gebremikael

Individual provider Athletic Trainer · NPI 1124797139

Masho Hagos Gebremikael is an Athletic Trainer in Portland, Maine. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

225 Danforth St
Portland, ME 04102-3723
Phone: (207) 423-4002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1124797139
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 13, 2021
Last updated in NPPESSeptember 13, 2021
Certification dateSeptember 13, 2021

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